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Individual

CRYSTAL MCINTYRE-PORTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, RD, LD

Contact information

Practice address
3012 DONNER LAKE CIR, DENTON, TX 76210-2900
(972) 804-2754
Mailing address
3012 DONNER LAKE CIR, DENTON, TX 76210-2900
(972) 804-2754

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT86570
TX

Other

Enumeration date
09/02/2020
Last updated
09/02/2020
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